TAX DEFERRED ANNUITY PLAN OF COCONUT GROVE CARES, INC.
|
2015
|
591263934
|
2016-03-25
|
COCONUT GROVE CARES, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624410
|
Sponsor’s telephone number |
3054466216
|
Plan sponsor’s
address |
3870 WASHINGTON AVE, MIAMI, FL, 331335645
|
Signature of
Role |
Plan administrator |
Date |
2016-03-25 |
Name of individual signing |
DAVID HALPERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-03-25 |
Name of individual signing |
DAVID HALPERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF COCONUT GROVE CARES, INC.
|
2014
|
591263934
|
2016-03-21
|
COCONUT GROVE CARES, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624410
|
Sponsor’s telephone number |
3054466216
|
Plan sponsor’s
address |
3870 WASHINGTON AVE,, MIAMI, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2016-03-21 |
Name of individual signing |
DAVID HALPERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-03-21 |
Name of individual signing |
DAVID HALPERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANUITY PLAN OF COCONUT GROVE CARES, INC.
|
2013
|
591263934
|
2014-10-16
|
COCONUT GROVE CARES, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624410
|
Sponsor’s telephone number |
3054466216
|
Plan sponsor’s
address |
3870 WASHINGTON AVE., MIAMI, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2014-10-16 |
Name of individual signing |
DAVID HALPERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF COCONUT GROVE CARES, INC
|
2012
|
591263934
|
2014-10-16
|
COCONUT GROVE CARES, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624410
|
Sponsor’s telephone number |
3054466216
|
Plan sponsor’s
address |
3870 WASHINGTON AVE., MIAMI, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2014-10-16 |
Name of individual signing |
DAVID HALPERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF COCONUT GROVE CARES, INC
|
2012
|
591266934
|
2014-10-16
|
COCONUT GROVE CARES, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624410
|
Sponsor’s telephone number |
3054466216
|
Plan sponsor’s
address |
3870 WASHINGTON AVE., MIAMI, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2014-10-16 |
Name of individual signing |
DAVID HALPERN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX-DEFERRED ANNUITY PLAN OF COCONUT GROVE CARES, INC.
|
2011
|
591263934
|
2012-09-25
|
COCONUT GROVE CARES, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624410
|
Sponsor’s telephone number |
3054466216
|
Plan sponsor’s
address |
3870 WASHINGTON AVENUE, MIAMI, FL, 33133
|
Plan administrator’s name and address
Administrator’s EIN |
591263934 |
Plan administrator’s name |
COCONUT GROVE CARES, INC. |
Plan administrator’s
address |
3870 WASHINGTON AVENUE, MIAMI, FL, 33133 |
Administrator’s telephone number |
3054466216 |
Signature of
Role |
Plan administrator |
Date |
2012-09-25 |
Name of individual signing |
ROSEMARY BEARSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF COCONUT GROVE CARES, INC.
|
2010
|
591263934
|
2011-07-21
|
COCONUT GROVE CARES, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624410
|
Sponsor’s telephone number |
3054466216
|
Plan
sponsor’s DBA name |
3870WASHINGTON AVENUE MIAMI, FL 33133
|
Plan sponsor’s
address |
3870WASHINGTONAVENUE, MIAMI, FL, 33155
|
Plan administrator’s name and address
Administrator’s EIN |
591263934 |
Plan administrator’s name |
COCONUT GROVE CARES, INC. |
Plan administrator’s
address |
3870WASHINGTONAVENUE, MIAMI, FL, 33155 |
Administrator’s telephone number |
3054466216 |
Signature of
Role |
Plan administrator |
Date |
2011-07-21 |
Name of individual signing |
ROSEMARY BEARSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF COCONUT GROVE CARES, INC.
|
2009
|
591263934
|
2010-10-15
|
COCONUT GROVE CARES, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624410
|
Sponsor’s telephone number |
3054466216
|
Plan sponsor’s
address |
3870 WASHINGTON AVENUE, MIAMI, FL, 33133
|
Plan administrator’s name and address
Administrator’s EIN |
591263934 |
Plan administrator’s name |
COCONUT GROVE CARES, INC. |
Plan administrator’s
address |
3870 WASHINGTON AVENUE, MIAMI, FL, 33133 |
Administrator’s telephone number |
3054466216 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
ROSEMARY BEARSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|